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HD BOISE DENTAL, LLC

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Company Details

Name: HD BOISE DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 16 Mar 2015 (10 years ago)
Financial Date End: 31 Mar 2025
Date dissolved: 18 Nov 2024
Entity Number: 453360
Place of Formation: IDAHO
File Number: 453360
ZIP code: 83704
County: Ada County
Principal Address: 1212 N COLE RD BOISE, ID 83704-8646
Mailing Address: STE 3 255 GLENDALE AVE SPARKS, NV 89431-5777

Agent

Name Role Address
J. Randall Moss Agent 8850 W EMERALD STREET, STE 150, BOISE, ID 83704

Member

Name Role Address Appointed On Resigned On
Chad D Hess Member 9400 W RIVERSIDE DR, GARDEN CITY, ID 83714 2021-03-08 No data
J RANDALL MOSS Member 8850 W. EMERALD STREET, BOISE, ID 83704 2020-11-03 2021-03-08

National Provider Identifier

NPI Number:
1346634870

Authorized Person:

Name:
CHAYSE MYERS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005987374 2024-11-18
Application for Reinstatement 0005873680 2024-09-04
Dissolution/Revocation - Administrative 0005774957 2024-06-12
Annual Report 0005193098 2023-04-10
Annual Report 0004593918 2022-02-03

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State